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06/15/26 Health Advisory: Infant Botulism Associated with Nara Organics Infant Formula
Summary Actions requested Background Infant botulism is a rare illness where spores of Clostridium botulinum bacteria colonize and grow in an infant’s large intestine. These bacteria release a neurotoxin that causes symptoms like constipation, weakness (especially in sucking, crying, and swallowing), and loss of muscle tone. If untreated, the condition can lead to paralysis, trouble breathing, and
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Tuberculosis FAQ
Tuberculosis Screening Tests Tuberculosis skin test (TST) (formerly known as PPD) Tubersol or Aplisol can be purchased through your medical supply chain. Ten or 50 dose vials, once opened must be used within 28 days. Requires skill to apply intradermally and read results properly. Patient must have two office visits. Sensitive test and inexpensive. See
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Tuberculosis Sputum Specimens
Suspicion of Active Tuberculosis Notify the Health Department of suspected active tuberculosis or positive AFB (acid-fast bacilli) smears or cultures. Patients Without Insurance Contact the Health Department. They may contact the patient and arrange to drop off and pick up sputum collection cups. Testing will be done at the Washington State Public Health Lab (PHL)

